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Home My WebLink About2016-00059 - plumbing CITY OF ORONO * Z 0 1 6 - PJ PJ 0 S 9 * 2750 KELLEY PARKWAY DATE ISSUED: OU29/2016 • ORONO, MN 55356- ' (952)249-4600 FAX: (952) 249-4616 ADDRESS : 3444 NORTH SHORE DR PIN : 08-117-23-43-0022 LEGAL DESC : LYDIARDS PARK LAKE MTKA : LOT 017 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 1 WATER CLOSET, 1 LAVATORY, 1 SHOWER, 1 FLOOR DRAIN(REPLACE), 1 LAUNDRY TRAY, 1 WASHER, 1 WATER SOFTNEI 1 UTILITY/LAUNDRY SINK,BASEMENT RADIATOR HEAT VALUATION OF PLUMBING 4000 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 2.00 LEE LUMENDAL,DEBORAH TOTAL 52.00 3444 NORTH SHORE DR Payment(s) WAYZATA, MN 55391- CHECK 6510 52.00 OWNER LEE LUMENDAL,DEBORAH 3444 NORTH SHORE DR WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. ��n ^ The applicant is responsible for assuring all required inspections are �� r/ requested in conformance with the State Building Code.This permit may be '�� revoked at any time for due cause. ;�__ ��-�-�� 1, 2 � / - Applicant Permitee Signature Date Issued By Signature� Date FOR CITY USE ONLY O City of Orono r� , �-- � � P.O.Box 66 Date Received: -�f��'Pennit# L,�,';�� -� � 2750 Kelley Parkway � C� Crystal Bay,MN 55323 Approved By: � Amount$:�k�, _ ' (952)249-4600—Main � �. (952)249-4616—Fah F �� CITY OF ORONO –PLUMBING PERMIT ��kESNo�`� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://�i��.dli.mn.Qo��/CCllll/Plll�/�c �lumb�l��u-e�°a� . �df GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARI)IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with State Code requirements. �6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour no6ce required) TYPE OF PERMIT (Check All That A 1 ) �Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/ Owner Information: Site Address: �� N�i�`� S�'�cc,^��V� Owner: ��(2c� I–�e �-Vi�t�� Mailing Address: cSQr� q S Ca��l� City: ��fzJ►1O Zip: c��;3 � � Home Phone: Alternate Phone: ��S—9, � a "- � �.Z.�, Contractor Information: Contractor: Contact Person: Address: State Bond #: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance–Current: 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1S1 2"D OTHER FIXTURE BSMT 1'' 2"D OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains �/� �� Lavatory •\/ Sewer Ejector � Bathtub Laundry Tray ,� Shower � Washer �� Kitchen Sink Water Heater Disposal Water Softener x Dishwasher Wet Bar Sillcocks Miscellaneous � � �Yldfl� 8o�uner�- �C �� PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies � �, The replacement�.f only one Residential fixture ar appliance that meets all t e of the following requirements: � 1. Does not require odification to electrical or gas service. � '�� 2. Has a total cost o��0.00 or less; excludine the cost of the fixture or app�ar�ce: and 3. Is improved,it�stalled or replaced by the homeowner or licensed plumbj�ig contractor. Skip next5ection,if this applies; � Cost of Permit �;�°� $ 15.04 � �State Surcharge � $ 1.00 � Mai1=�.Fee(If App 'able) $ 2.00 Total Permit Fe� $ � J (Permit Fees Continued On Next Page) 2 PERMIT FEE CALCULATION(S —JOBS OVER$500.00 ` If above does not apply, follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � ' �0'� 0 x .0125 $ � �� ( ontract price) (minimum$50.00) 2. `STATE SURCHARGE � O x .0005 $ �� . (c ntract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��(�(-�_ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged to the customer for the wark done. If any material, equipment, labor or installations are furnished by the owner, tenant or any other party, the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. PLUMBING PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City far issuance of a Pluinbing Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: Date: �l��,� 3 � �� ✓� DATE TIME CITY OF ORONO CALLED IN =� � INSPECTION NOTICE /�� SCHEDULED � PERMIT NO.6�l��l�lL�-�-%�� COMPLETED ADDRESS `,� �� `� � _ � �?Gr�" �--K OWNER ��1�� `"' ` TELEPHONE NO.��(i�Cr��"3� CONTRACTOR � DESCRIPTION �" �L«Yl!"-� 1�� 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL �LUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ PTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YQU YES_NO O �—� : �., COMMENTS: � � . � , ,,OW ✓� �, �z� � � � L •L. - OK - . o . � ��d%ovr�� /?� L �/�f �a.� �� C�v v�� o , '� l�t�•�� b�e. .z� - W - - - � Q - 2 Ca��«� �+ d� ta r�r��-?U� W � W � � , d � a ❑ RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W RECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR W{LL REfURN ❑CITATION ISSUED ❑STOP OHDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector.�?r i r^�' � White Copyllnspector's File Cenary CopylSite Notice DATE TIME ✓ CITY OF ORONO cnLLED IN iNSPECTION NOTICE SCHEDULED � PERMR NO. �L6��'1� COMPLETED ' ADDRESS �5`�f y /� snO�r . i0r� . p�yNEp �2� �4 M�.eLI..L TELEPHONE NO. CONTRACTOR � DESCRIPTION L--• L• �r�� `� , � ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF �LUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB MECHANICAL RI ❑ SITE iNSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCOf�fTRACTOR TO MEET YWl:_YES_NO � COMMENTS: � �.L � �� .� b�� s,.�� - o - v�s�:� ' � � 5�i� u��G- � �laa✓ ° �� K C6�.d�e�c — W - � Q � ' 2 / � Cp r/'GG� �� ,Q2/ rM�L' -�!K4l�oQ' � j � ❑WORK SAT�SFACTORY`.PROCEED �O�IECT COMPLETE CORRECT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑(�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHpTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlCor*tractor on site: Inspector: whia cov�rn��w�� C�nary CoPYlSits Notfee